Dr Paul Mucciolo, MD | |
1530 Cornerstone Blvd Ste 120, Daytona Beach, FL 32117-7129 | |
(386) 310-2160 | |
(386) 310-2106 |
Full Name | Dr Paul Mucciolo |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1530 Cornerstone Blvd Ste 120, Daytona Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578637104 | NPI | - | NPPES |
252127000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0069281 (Florida) | Secondary |
207P00000X | Emergency Medicine | ME0069281 (Florida) | Primary |
Entity Name | Emergency Medicine Professionals Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205880853 PECOS PAC ID: 0446244362 Enrollment ID: O20040413001435 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul Mucciolo, MD 1530 Cornerstone Blvd Ste 120, Daytona Beach, FL 32117-7129 Ph: (386) 274-7936 | Dr Paul Mucciolo, MD 1530 Cornerstone Blvd Ste 120, Daytona Beach, FL 32117-7129 Ph: (386) 310-2160 |
Cheryl Marie Moses, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4000 | |
Dr. Peter Springer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-2285 Fax: 386-425-1304 | |
Dr. Rewadee Soontharothai, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114 Phone: 386-425-2285 Fax: 386-425-7522 | |
Dr. Cindy May Hird, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114 Phone: 386-425-2285 Fax: 386-425-7522 | |
Jessica Gershen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Emergency Medicine, Daytona Beach, FL 32114 Phone: 386-425-2285 Fax: 386-425-7522 | |
Dr. Danielle Leanne Collins, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-2285 Fax: 386-425-7522 | |
Alyka Glor Pascual Fernandez, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 222 S Peninsula Dr, Daytona Beach, FL 32118 Phone: 386-310-2160 Fax: 386-310-2106 |